Newport Integrated Behavioral Healthcare, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

171335 Issued in GA

Legal business name

NEWPORT INTEGRATED BEHAVIORAL HEALTHCARE, INC

Practice address

1810 Moseri Rd
Decatur, GA 30032-5116

Phone

(404) 289-8223

NPI assigned

Dec 10, 2006

Last updated

Apr 9, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Moseri, MDNPI 1346253309

Title

Ceo

Phone

(404) 289-8223

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John L Moseri, MD

  • Addiction Psychiatry Physician
  • Decatur, GA
  • NPI 1346253309
  Medicare reassignment NPD Authorized official
• Joy Moseri-Cooper, DBA, LPC, CPCS,CACII

  • Counselor
  • Decatur, GA
  • NPI 1164820890
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649462400000",
    "number": "1902966203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MOSERI RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300325116",
            "telephone_number": "404-289-8223",
            "fax_number": "404-286-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MOSERI RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300325116",
            "telephone_number": "404-289-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT INTEGRATED BEHAVIORAL HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-10",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A",
        "authorized_official_last_name": "MOSERI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-289-8223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "GA",
            "license": "171335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "932182703A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoseri@nibhinc.com",
            "affiliation": "N",
            "endpointDescription": "Newport",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1810 Moseri Rd",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300325116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Ann Newell, LCSW
• Karen C Newell, M.D.
• Randall I Newman, MD
• Samuel Newman, LMSW
• Tammy Newman
• Naandria Ruth Newsom
• David Newton, LPC
• Nexus Laboratories, Inc.
• Judith Fuajong Ngulefac
• Barbara Nguyen, M.D.

• Substance Abuse Rehabilitation Facility in Decatur, GA
• Providers in Decatur, GA by specialty
• Substance Abuse Rehabilitation Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.